A PROSPECTIVE-STUDY OF THE EFFECTIVENESS OF BRIEF PROFESSIONALLY-LED SUPPORT GROUPS FOR INFERTILITY PATIENTS

被引:46
作者
STEWART, DE [1 ]
BOYDELL, KM [1 ]
MCCARTHY, K [1 ]
SWERDLYK, S [1 ]
REDMOND, C [1 ]
COHRS, W [1 ]
机构
[1] UNIV TORONTO,ST MICHAELS HOSP,TORONTO M5B 1W8,ONTARIO,CANADA
关键词
INFERTILITY; SUPPORT GROUPS; PSYCHOLOGIC DISTRESS; PATIENT ACCEPTABILITY;
D O I
10.2190/DRB0-3WJ0-AWDT-57AH
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: This study prospectively evaluates the effectiveness and patient acceptability of professionally-led support groups in alleviating psychologic distress in infertility patients. Method. Sixty-four consecutive patients in a university hospital infertility program were administered a battery of psychologic tests before and after attendance at an 8 weekly session support group. The comparison group consisted of 35 consecutive infertility referrals to the same unit who were not initially offered the support group and were similarly tested over an 8 week period. Results: Support group patients had significantly greater (p less-than-or-equal-to 0.01) entry than exit scores on several measures of psychologic distress and depression (the Beck Depression Inventory, the Hamilton Rating Scale for Depression, and the Global Severity Index, Anxiety, Depression, Hostility and Obsessive Compulsive Subscales of the Brief Symptom Inventory). The Avoidance Coping Style on thc Moos Coping Responses Inventory was correlated with a higher Global Severity Index (p less-than-to-equal-to 0.01). Comparison group patients had similar psychometric scores to the support group patients at entry but showed no change over 8 weeks. Attenders expressed a high rate of satisfaction with the support group. Conclusions: Professionally-led support groups are a highly acceptable and effective intervention in self-referred patients in alleviating psychological distress related to infertility.
引用
收藏
页码:173 / 182
页数:10
相关论文
共 23 条
[1]  
BECK AT, 1976, PHARMACOPSYCHIATRY, V7, P51
[2]  
Billings A G, 1981, J Behav Med, V4, P139, DOI 10.1007/BF00844267
[3]  
CALAN VJ, 1989, BRIT J MED PSYCHOL, V62, P343
[4]  
Christianson C, 1986, J Obstet Gynecol Neonatal Nurs, V15, P293, DOI 10.1111/j.1552-6909.1986.tb01398.x
[5]   A REVIEW OF PSYCHOLOGICAL AND SOCIAL ASPECTS OF INVITRO FERTILIZATION [J].
DENNERSTEIN, L ;
MORSE, C .
JOURNAL OF PSYCHOSOMATIC OBSTETRICS AND GYNECOLOGY, 1988, 9 (03) :159-170
[6]  
Derogatis L., 1982, BRIEF SYMPTOM INVENT
[7]  
DOMAR AD, 1990, FERTIL STERIL, V53, P246
[8]  
DOWNEY J, 1989, FERTIL STERIL, V52, P425
[9]   PSYCHOLOGICAL-ASPECTS OF INFERTILITY [J].
EDELMANN, RJ ;
CONNOLLY, KJ .
BRITISH JOURNAL OF MEDICAL PSYCHOLOGY, 1986, 59 :209-219
[10]  
FAWZY FI, 1990, ARCH GEN PSYCHIAT, V47, P720